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Search › Illinois › 261QP2000X

Nicholas Formica, PTA

NPI 1679388060 · on the registry since 2025 · sole proprietor

Practice

Address
4061 W 95th St
Oak Lawn, IL 60453
Phone
(630) 469-9200
Organisation at this address
Dupage Medical Group Ltd
Du Page Medical Group Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois